Denervation and Reinnervation of the Heart After Aortic Surgery, Estimated by 123I-Metaiodobenzylguanidine Scintigraphy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-03

AUTHORS

Shinji Miyamoto, Tetsuo Hadama, Hirofumi Anai, Hidenori Sako, Tomoyuki Wada, Eriko Iwata, Kouichi Nakayama, Hiroshi Takeoka, Katsushige Ono

ABSTRACT

PURPOSE: To investigate whether sympathetic nerve injury occurs during aortic surgery and how reinnervation takes place afterward. METHODS: Imaging with 123I-metaiodobenzylguanidine (MIBG) was performed in 12 patients (aortic group) who underwent aortic surgery (ascending replacement 3, ascending-arch replacement 9) before and 3 weeks after surgery. In 8 of 12 patients, MIBG scintigraphy was performed 1 and 2 years after surgery. Twelve patients (control group) who underwent open-heart surgery (mitral valve repair: 11; tricuspid valve replacement: 1) were studied using MIBG scintigraphy. The heart-to-mediastinum (H/M) activity ratio was obtained from planar images. The myocardial single-photon-emission computed tomography image was divided into five segments and the regional tracer uptake was scored from 0 = absent to 3 = normal uptake. RESULTS: No significant difference in the H/M ratio in either early and delayed planar scans was observed between both groups before surgery. The H/M ratios significantly decreased 3 weeks after surgery in the aortic group, whereas there was no significant change in the control group. The H/M ratio did not recover to the preoperative level within 2 years. In these 8 patients, the regional uptake of MIBG improved in the anterior and septal regions 1 year after surgery. CONCLUSION: During ascending or ascending-arch replacement, the sympathetic nerve was globally denervated and slight reinnervation was observed within 2 years. The anterior and septal regions showed a rapid reinnervation, whereas other regions did not. More... »

PAGES

226-230

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-003-2686-0

DOI

http://dx.doi.org/10.1007/s00595-003-2686-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027007509

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/14999534


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